Revenue Cycle Rep, Biller

So IL Health Care Foundation•Sauget, IL

18h

About The Position

Responsible for ensuring team performance that supports the mission of SIHF Healthcare and facilitates the achievement of health center or department goals and objectives. Administer the functions within the department including but not limited to complete aging report according to department regulations, including manager holds, holds, kick codes, fully worked and overpaid flags.

Requirements

Must have well developed oral and written communication skills with the ability to read and comprehend simple instructions, write short simple correspondence, and memos.
Ability to effectively present information in small groups and one-on-one situations to customers, clients, and/or other employees of the organization.
Proficient personal computer skills including electronic mail, record keeping, routine database activity, word processing, spreadsheet, graphics, etc.
Ability to handle multiple tasks and prioritize.
Requires the ability to maintain confidentiality.
Knowledge of Medicaid, Medicare, FQHC, Commercial, Work Comp and all other third-party payer billing guidelines.
High school diploma or GED and one (1) year related experience preferred.

Nice To Haves

An understanding of billing rules and regulation related to Medicaid, Medicare, private insurance, and self-pay physician services is desired.

Responsibilities

Review and approve charges to be submitted to the correct third-party payer.
Evaluate outstanding accounts receivable as assigned by leadership team.
Follow up with third party payers using provider portals and/or telephone calls to drive correct processing of claims submitted.
Interact with management, SIHF leadership, and health center staff to resolve customer or payer issues and/or concerns.
Develop relationships with carrier representatives to resolve complex issues.
Identify and report rejection trends to department leadership.
Research solutions and make recommendations to department leadership.
Verify patient third party payer eligibility information.
Identify potential coding errors and work with site managers or other team members to resolve.
Set a good example for team members in the area of professionalism, customer service, and adherence to SIHF Healthcare policies and procedures.
Always provide excellent customer service to patients, clients, other RCM team members, and all the SIHF Healthcare team members.
Perform routine duties with minimal supervision.
Be a resource for all health center staff to understand their role in the claim submission process.
Must be HIPAA compliant and maintain confidentiality of all health records.
Other duties as assigned.